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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: l(f Permit Number. - _ s Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: Mechanical I PROPOSED INPROVEMENT LOCATION: Address: Legal Description: r_ V \ X Property Tax ID #: SIC " � r fl G Lot No. Site Plan Name: Block No. Project Name: Mia r) r� Setbacks Front Back: Right Side: Left Side: I DETAILED DESCRIPTION OF WORK: I 3amonai worK to oe ✓ZHVAC rtormea under this Gas Tank E]Gas permit —check all t apply: Piping Shutters Name: PATRICK FLETCHALL Address: l e 441 G S, c' _ Windows/Doors 11 Electric Plumbing 11 Sprinklers E Generator Roof Total Sq. Ft of Construction': I l'1 L Cost of Construction: $ 9';2 y . r_C Sq. Ft. of First Floor: _ Utilities: 7 Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name LC471,na tlyklyIn Name: PATRICK FLETCHALL Address: l e 441 G S, c' Company: COOL & RELIABLE AIR COND City: ��� State: FL Address: 1051 NE SANTA CRUZ DR Zip Code: �4 5 % Fax: City: JENSEN BEACH State: FL Phone No. i ?c:J ✓� �� - �- 34957 �— --� Zip Code: Fax: E -Mail: Phone No. 772-692-5750 E -Mail: r_cool@bellsouth.net Fill in fee simple Title Holder on next page ( if different from the Owner listed above) State or County License: CAC058567 V42 UC Ul.UMOULl"W11 a ?cww yr more, a KrluKury rvouce or Lommencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER ENGINEER: Not Applicable Name: Address: City: State: Zip: Phone: MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: _Not Applicable Name: Address: Address: City: Zip: Phone: City: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated I certify that no work or installation has commenced prior to the issuance of a permit St. Lucie County makes no representation that is granting a permit will authorize thepermit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencine work or recording vour Notice of Commencement. re of Owner/ A(gent/ Lessee of Contra6tor'TLicense Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF 51 . �4Gt�� COUNTY OF 'FDA` L Ll C�' The forggQing instrument was acknowledged before me th!P i'day of 20LIU by (Name of acknowlyd -(Sigrrgure" of Notary Public- State of Florida ) Personally Known �_ OR Produced Identification Type of Identifica'rt= SHAWN ACommission No.,•' NOgry Ramal)' Stab Ol flortda Commission M FF 958939 Expires Mar 11, 2020 %F,°;, ��.�``�• Bonded through National Notary Assn Revised 07/15/20, The forgging instrument was acknowledged before me thb V day of 20�by (Name of person ackn w e _ (Signature of Notary Public- State of Florida ) Personally Known V6` OR Produced Identification Type of Identification Prod Commission No. U ~ s "Ir Public •State of F Commission N FF 9581 'sy V,rz My Comm. Expires Mar 11 ';T,ZW 80n4/d through National Nota REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED 20 All 00,13 CERTIFIED www.ahridirectory.org Certificate of Product Ratings AHRI Certified Reference Number: 7493646 Date: 7/19/2016 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: RA1436AJ1 Indoor Unit Model Number: RBHP-21 Manufacturer: RHEEM SALES COMPANY, INC. Trade/Brand name: RHEEM; RUUD Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, VT, WA, WV, WI, WY, U.S. Territories) Region Note: Central air conditioners manufactured prior to January 1, 2015, are eligible to be installed in all regions until June 30, 2016. Beginning July 1, 2016, central air conditioners can only be installed in region(s) for which they meet the regional efficiency requirement. Series name: Manufacturer responsible for the rating of this system combination is RHEEM SALES COMPANY, INC. Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitary Air -Conditioning and Air -Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (Btuh): 36000 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 15.50 IEER Rating (Cooling): Ratings followed by an asterisk (') indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerate. DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www.ahrldirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and -' confidential reference purposes. The contents of this Certificate may not. in whole or in part, be reproduced; copied; disseminated; No entered into a computer database: or otherwise utilized, in any form or manner or by any means, except for the user's individual. personal and confidential reference. AIR-CONDITIONING. HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridirectory.org, dick on "Verity Certificate" link we make life better" and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which is listed above, and the Certificate No., which is listed at bottom right 13113x137054283260 ©2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: